WEBVTT - Anorexia Ozempica 0:00:04.720 --> 0:00:07.440 Welcome to another episode of Between Us Doctors. I'm doctor 0:00:07.520 --> 0:00:11.119 Terry bro I'm doctor Robert Schor. Okay, listen, rob I 0:00:11.119 --> 0:00:14.400 want to talk to you about something that's been disturbing 0:00:14.480 --> 0:00:17.759 me for the last two weeks. Ever since I watched 0:00:17.800 --> 0:00:23.680 the oscars, I realized that there's like a new epidemic 0:00:24.360 --> 0:00:26.200 in this world. And you know what it is. 0:00:27.080 --> 0:00:27.960 What's the epidemic? 0:00:28.880 --> 0:00:37.200 Anarexia ozempica. I kid you not. It's like medically induced 0:00:37.880 --> 0:00:43.400 appetite suppression. It's like chemical starvation. People are taking these 0:00:43.479 --> 0:00:46.879 GLP one drugs to the next level, and it's like 0:00:47.640 --> 0:00:53.920 a very significant misuse. It's almost like enabling an eating disorder. 0:00:53.920 --> 0:00:55.440 Have you noticed this in your patience? 0:00:56.440 --> 0:00:59.600 Yeah, it's a it's a I'm noticing it not only 0:00:59.600 --> 0:01:01.920 in my painations, but all over society and people that 0:01:01.960 --> 0:01:07.559 I know. It's it's taking it's basically now making biochemical 0:01:08.240 --> 0:01:12.520 eating disorder possible. Yeah, it's I mean, it's it's taking 0:01:12.560 --> 0:01:16.440 it beyond weight loss to drug induced malnutrition. 0:01:17.280 --> 0:01:21.399 Yeah, anorexia ozampica. Let's let's let's talk about what it's not. 0:01:21.640 --> 0:01:27.520 This is not anorexia nervosa. This is not a psychiatric disorder. 0:01:28.000 --> 0:01:33.360 This is a medically induced eating disorder that I think 0:01:33.480 --> 0:01:37.679 is a giant problem that I'm seeing article after article, 0:01:37.760 --> 0:01:43.600 podcast after podcasts about celebrities talking about how they're misusing 0:01:44.360 --> 0:01:49.520 these drugs and they don't have any medical education indication 0:01:49.680 --> 0:01:53.200 for them, and they're getting access to them through the internet. 0:01:53.440 --> 0:01:56.240 I mean, this is a crazy, crazy problem. 0:01:58.000 --> 0:02:01.520 It's it's it's a system that has now bypassed all 0:02:01.560 --> 0:02:04.560 the medical safeguards that we normally have in the society, 0:02:04.760 --> 0:02:07.520 where if you wanted to get on a prescription drug, 0:02:07.520 --> 0:02:09.560 you'd have to see a doctor, there would have to 0:02:09.600 --> 0:02:12.160 be some reasonable indication for it, there would be someone 0:02:12.240 --> 0:02:15.200 monitoring what you're doing. This is just literally going on 0:02:15.240 --> 0:02:18.240 a website or going in the gray market and just 0:02:18.320 --> 0:02:22.680 buying these things that are potentially dangerous medications, and people 0:02:22.680 --> 0:02:25.720 are just using them as they see fit. These drugs 0:02:25.720 --> 0:02:28.680 aren't designed aren't designed for you to lose five pounds. 0:02:29.400 --> 0:02:32.520 They're designed to treat diabetes and for major weight loss 0:02:32.560 --> 0:02:33.880 in people who are obese. 0:02:34.280 --> 0:02:37.880 Right, but let's first state make a statement like this. 0:02:38.320 --> 0:02:41.679 I think this is among if not the most significant 0:02:41.800 --> 0:02:45.919 medical breakthrough in the history of medicine. These drugs are amazing. 0:02:46.040 --> 0:02:49.800 It's not the drugs that are the problem. It's the 0:02:49.960 --> 0:02:53.919 rampant misuse of these drugs that are the problem, don't 0:02:53.960 --> 0:02:54.880 you agree. 0:02:55.360 --> 0:02:58.799 Yeah, absolutely, I mean that's like most drugs, really, it's 0:02:58.880 --> 0:03:02.520 you know, it's it's like someone taking a blood pressure 0:03:02.600 --> 0:03:04.919 drug because they don't want to be one twenty over eighty, 0:03:04.919 --> 0:03:07.840 they want to be one hundred over sixty. It's not 0:03:07.880 --> 0:03:09.960 what the drug is designed to do, and it's never 0:03:10.000 --> 0:03:12.519 been tested for these things. The way people are using it. 0:03:12.800 --> 0:03:15.160 Right, it's like we're going back in time to the 0:03:15.200 --> 0:03:21.359 early two thousands when extreme thinness was a thing. Remember that, 0:03:21.600 --> 0:03:24.760 it was like the thinner you are, the better it is, 0:03:25.000 --> 0:03:30.360 when in fact, extreme thinness is actually a metabolic disorder 0:03:30.560 --> 0:03:31.520 in and of itself. 0:03:31.800 --> 0:03:34.080 It's not healthy. In other words, people are taking this 0:03:34.400 --> 0:03:36.960 to drug that's designed to improve your health and that 0:03:37.000 --> 0:03:40.840 are amazing for improving health when they're used properly, and 0:03:41.000 --> 0:03:43.880 using it in a state where they're already healthy, to 0:03:44.000 --> 0:03:46.400 drive them to a point where they're no longer healthy. 0:03:46.440 --> 0:03:49.080 By the way, it's having the opposite effect. It's actually 0:03:49.160 --> 0:03:53.320 making you look older, okay, it's actually giving you fatigue, 0:03:53.760 --> 0:04:00.120 it's giving you electrolyte disorders, it's you're losing muscle and bone. 0:04:00.520 --> 0:04:05.680 But actually, let's get a little bit not nerdy, but 0:04:05.760 --> 0:04:08.560 a slightly doctory for a minute and talk about the 0:04:08.640 --> 0:04:11.440 problem with the misuse of these drugs. Okay, because when 0:04:11.440 --> 0:04:15.360 they're used properly and you maintain your muscle mass, they 0:04:15.880 --> 0:04:20.120 cure metabolic disorders. Okay, they're fabulous for obesity, they're fabulous 0:04:20.120 --> 0:04:23.240 for all sorts of indications. But when used in the 0:04:23.240 --> 0:04:28.160 way that I'm seeing it with this anorexia ozempica, this 0:04:28.240 --> 0:04:33.200 is the fundamental problem I'm seeing. You lose muscle mass, 0:04:33.560 --> 0:04:38.880 the most important structural component of the body. And when 0:04:38.880 --> 0:04:42.240 you lose muscle mass, what happens is your metabolic rate 0:04:42.360 --> 0:04:46.359 goes down, right, And so as your metabolic rate goes down, 0:04:46.720 --> 0:04:51.880 then your body goes into this conservation adaptation mode where 0:04:52.640 --> 0:04:58.279 it's basically adapting to starvation, and that leads to a 0:04:58.320 --> 0:05:00.480 whole bunch of problems in and of it. 0:05:00.480 --> 0:05:03.719 It leads to both short term and long term problems. 0:05:04.000 --> 0:05:07.240 I mean short term. These people are walking around probably 0:05:07.520 --> 0:05:13.640 dehydrated right at least acutely malnourished. They're not getting atticause. 0:05:14.360 --> 0:05:17.760 It's very hard when you're using these medications this way 0:05:18.520 --> 0:05:22.440 to take in adequate calories every day, because really, these 0:05:22.480 --> 0:05:25.520 people are not meant to be These are not obese people. 0:05:25.800 --> 0:05:28.160 They should not be living on say a thousand calories 0:05:28.240 --> 0:05:30.680 or less per day. But it can be a challenge 0:05:30.760 --> 0:05:33.320 to get in you know, depending on your man woman, 0:05:33.360 --> 0:05:35.640 what size you are, I don't know, fifteen one hundred 0:05:35.680 --> 0:05:38.520 to twenty two hundred calories, it can be difficult on 0:05:38.560 --> 0:05:39.560 these medications. 0:05:39.560 --> 0:05:44.159 Practical examples of this their Doo Brooks Natter is the 0:05:44.240 --> 0:05:49.479 model Yeah so yeah, yeah, so very attractive, Okay, but 0:05:49.800 --> 0:05:52.680 actually talked a lot about the fact that she was 0:05:53.400 --> 0:05:56.279 using and abusing these drugs the point where she was 0:05:56.360 --> 0:06:00.000 throwing up, she was fatigued. She I think she passed out, 0:06:00.440 --> 0:06:04.240 and furthermore, you know, it leads to thinning of the hair, 0:06:04.480 --> 0:06:09.360 electrolyte disorders, you can't sleep, hormonal disruptions. 0:06:08.600 --> 0:06:12.279 By flaky skin, all kinds of things that, aside from 0:06:12.279 --> 0:06:14.279 the health issues, are just unattractive. 0:06:14.400 --> 0:06:19.520 Yeah, menstruation problems. I mean, this is a disaster phenomenon 0:06:19.800 --> 0:06:22.839 that no one is talking about, and I think it's 0:06:22.920 --> 0:06:26.480 really important that we, for at least a moment or two, 0:06:26.839 --> 0:06:31.920 highlight how to use these things properly, the red flags 0:06:31.960 --> 0:06:34.239 that you need to look for when you're using these things, 0:06:34.279 --> 0:06:40.200 and how to avoid this new newly recognized eating disorder 0:06:40.200 --> 0:06:43.839 that's clearly going from endemic in you know, the major 0:06:43.880 --> 0:06:48.720 metropolitan areas to becoming an epidemic throughout the country. Right, So, 0:06:49.640 --> 0:06:51.640 what are the factors that you need to look for 0:06:52.000 --> 0:06:56.599 when you're concerned about anorexia ozempica? I think number one 0:06:56.680 --> 0:07:00.000 is you're on these drugs and you're losing weight too rapidly, right, 0:07:00.360 --> 0:07:03.240 Number one, you shouldn't be losing one to two percent 0:07:03.279 --> 0:07:05.320 of your body weight per week. It should be more 0:07:05.360 --> 0:07:08.880 like a quarter to half percent a week. 0:07:08.800 --> 0:07:15.040 True at most, particularly if you're someone who's not obese 0:07:15.080 --> 0:07:17.640 to begin with. First of all, if you're getting on 0:07:17.680 --> 0:07:22.400 these medications to you know, lose ten pounds, you know, look, 0:07:22.440 --> 0:07:25.080 people are gonna do it. It's just gonna happen because 0:07:25.120 --> 0:07:28.679 it's it's like an easy cheat code for losing weight. 0:07:28.920 --> 0:07:31.360 It takes away the cravings and you'll do it. But 0:07:32.480 --> 0:07:34.520 if you're doing it at that point, you've got to 0:07:34.560 --> 0:07:37.360 be really really careful. You don't have that much room 0:07:37.400 --> 0:07:39.400 to play with, you know, if you're not If you're 0:07:39.400 --> 0:07:42.560 one hundred pounds overweight, then you've got huge fat stores 0:07:42.600 --> 0:07:45.560 that your body can start working off of. But for 0:07:45.600 --> 0:07:47.880 the average person who's just trying to lose a few pounds, 0:07:48.000 --> 0:07:50.960 you don't have that. And so if you get on 0:07:51.000 --> 0:07:54.600 these medications, your body is immediately going to start getting 0:07:54.600 --> 0:07:57.160 more of its calories because you're not taking in enough. 0:07:57.480 --> 0:07:59.960 It doesn't have enough fat to do that. It's gonna 0:08:00.160 --> 0:08:06.800 start breaking down muscle and healthy lean tissue immediately immediately. 0:08:06.880 --> 0:08:11.200 So the number two red flag for me is zero appetite. 0:08:11.320 --> 0:08:14.360 I mean, I've gone out with couples that I know, 0:08:14.560 --> 0:08:17.600 the women and maybe some of the men are taking 0:08:17.640 --> 0:08:23.280 these drugs and they're eating literally nothing. The goal is 0:08:23.320 --> 0:08:26.880 not to eat nothing, okay, And as I always say 0:08:26.880 --> 0:08:30.720 to Heather, you know, it doesn't look good to be 0:08:30.840 --> 0:08:33.400 that thin, I always say to her, And this is grotesque, 0:08:33.400 --> 0:08:35.840 but I'm gonna say it anyway. No one wants to 0:08:35.840 --> 0:08:38.440 fuck a skeleton, Okay. If you're doing this to look good, 0:08:38.720 --> 0:08:43.199 all right, it's having the opposite effect. So zero appetite 0:08:43.400 --> 0:08:44.520 is not the goal. 0:08:44.800 --> 0:08:49.600 No, it's well aside from it just not being the goal. 0:08:50.840 --> 0:08:52.600 If you're not look, if you're going to be on 0:08:52.760 --> 0:08:55.360 these drugs and you don't want it. First of all, 0:08:55.920 --> 0:08:58.920 you don't want to get ridiculously lean. The goal is 0:08:59.000 --> 0:09:01.640 not to have the body fat of a bodybuilder who's 0:09:01.640 --> 0:09:06.000 about to enter competition. Bodybuilders don't do that. They lean 0:09:06.120 --> 0:09:09.400 down right before the competition. They don't get down to 0:09:09.559 --> 0:09:13.040 like single digit body fat levels and live at that 0:09:13.280 --> 0:09:18.480 because it's unhealthy. It's not doable, and frankly, for everyday purposes, 0:09:18.840 --> 0:09:20.960 particularly in women, it doesn't look good. 0:09:21.120 --> 0:09:23.040 I mean, I don't know if you watch the Oscar 0:09:23.080 --> 0:09:26.280 Red Carpet, but I mean it. And I don't want 0:09:26.280 --> 0:09:30.040 to body shame anyone. I think they're all very beautiful obviously, 0:09:30.080 --> 0:09:32.960 and they're very talented, but I mean, you know, in 0:09:33.000 --> 0:09:35.200 the middle of watching the Red Carpet, I thought to myself, 0:09:35.200 --> 0:09:37.599 what is this the ozempics or is this the oscars? 0:09:37.720 --> 0:09:40.080 You know what I mean? I mean, I just think 0:09:40.559 --> 0:09:45.720 people are taking this too far, okay, And if the 0:09:45.760 --> 0:09:48.640 other red flag is you're just not eating enough protein, 0:09:48.840 --> 0:09:52.880 this is really all about muscle wasting and protein. And 0:09:53.120 --> 0:09:55.600 what do you tell your patients how many grams poor 0:09:56.000 --> 0:09:59.000 kilogram or body pound should they eat in protein? 0:10:00.080 --> 0:10:06.079 Well, if they're going to be on this at least 0:10:06.120 --> 0:10:10.120 one and probably about one point five in reality. So 0:10:10.760 --> 0:10:14.160 I would recommend to anyone who's taking this, first of all, 0:10:14.600 --> 0:10:17.679 if you're going to be taking these, see your doctor 0:10:17.880 --> 0:10:21.360 and get it prescribed properly and be monitored for this. 0:10:21.440 --> 0:10:24.240 You need to have labs check periodically. You need to 0:10:24.240 --> 0:10:27.280 be looked at. And a lot of these telem medicine 0:10:27.360 --> 0:10:31.160 sites that do this, yeah, they're kind of getting around 0:10:31.320 --> 0:10:33.240 because there's a doctor that you get on a zoom 0:10:33.280 --> 0:10:35.520 call with and they make you fill out a questionnaire. 0:10:36.559 --> 0:10:39.560 That's not really that's not really medicine. Let's not get 0:10:39.559 --> 0:10:43.600 ourselves medicine to get on one of these medications, particularly 0:10:43.679 --> 0:10:47.720 for questionable goals. You need to see someone. They need 0:10:47.760 --> 0:10:49.640 to a physical exam on you. You need to get some 0:10:49.760 --> 0:10:52.080 labs done, You need to make sure that this isn't 0:10:52.400 --> 0:10:54.080 that first of all, you're in the right state of 0:10:54.120 --> 0:10:56.520 health to start it, and someone needs to be monitoring 0:10:56.520 --> 0:10:58.400 this as you go. And then you need to be 0:10:58.440 --> 0:11:01.800 supplementing your protein and you need to be lifting weights. 0:11:02.280 --> 0:11:04.960 You need to be doing strength training minimum of two 0:11:05.000 --> 0:11:08.120 times a week to maintain or you are going to 0:11:08.160 --> 0:11:11.240 lose muscle mass and you're going to get weaker, and 0:11:11.720 --> 0:11:14.920 as that happens, your metabolic rade is going to drop. 0:11:14.920 --> 0:11:18.439 So good luck getting off of these medications. Afterwards, when 0:11:18.480 --> 0:11:20.520 you've been in a starvation mode for a long time, 0:11:20.600 --> 0:11:23.160 you're going to start gaining weight very rapidly. So, now, 0:11:23.240 --> 0:11:26.160 by the way, stock on these meds. That's exactly the point. 0:11:26.240 --> 0:11:28.960 That is an a super important point. If your metabolic 0:11:29.000 --> 0:11:31.520 rate goes down too quickly and you get off these drugs, 0:11:31.600 --> 0:11:35.920 you're going to have such rapid gain regain that it's 0:11:36.120 --> 0:11:39.320 just going to rebound horribly for you. So the act 0:11:39.640 --> 0:11:43.360 opposite of what you want to maintain is what happens. Now, 0:11:44.160 --> 0:11:48.160 let's talk about this whole thing with rediitruy tide. Okay. Yeah. 0:11:48.440 --> 0:11:51.720 The problem is is that whether we like it or not, 0:11:51.880 --> 0:11:56.320 whether we suggest that people should be on medical supervision, 0:11:56.360 --> 0:11:59.720 have the proper indications, whether BMI grader than thirty or 0:12:00.040 --> 0:12:03.600 greater than twenty seven with a COMORBIDITI like hypertension, blah 0:12:03.600 --> 0:12:05.880 blah blah, all those doctory things that you or I 0:12:05.920 --> 0:12:07.680 would say. At the end of the day, we have 0:12:07.679 --> 0:12:11.440 to acknowledge people are going to get these from compounding pharmacies. Okay, 0:12:11.480 --> 0:12:14.600 they're just going to do it. So I think it's 0:12:14.679 --> 0:12:17.480 better for us to acknowledge that they're going to get 0:12:17.520 --> 0:12:21.120 them this way and at least give some advice that 0:12:21.200 --> 0:12:23.920 if you are going to get on REHDTA, this is 0:12:23.920 --> 0:12:25.560 how you should do it. The problem is, if you 0:12:25.600 --> 0:12:29.280 haven't heard about Rihtta or Rehta truetide. It's one of 0:12:29.320 --> 0:12:32.480 the most amazing phenomenons I've ever seen in medicine where 0:12:32.960 --> 0:12:37.800 a drug that's not even FDA approved yet not even 0:12:37.880 --> 0:12:41.680 been proven to be safe, is one of the most 0:12:41.720 --> 0:12:46.360 powerful and popular drugs that people are using to induce 0:12:46.440 --> 0:12:50.880 this medical starvation. It's so easy to get and all 0:12:50.880 --> 0:12:53.520 you have to do is get near talk about Rehtta 0:12:53.840 --> 0:12:57.959 near your phone, and the next time you scroll mindlessly 0:12:58.240 --> 0:13:00.240 on your phone, it's going to show you no nothing 0:13:00.320 --> 0:13:04.559 but Jim Brow's chiropractors and high school grads talking about 0:13:04.840 --> 0:13:09.600 the medical indications for these drugs REDDA. But let's talk 0:13:09.640 --> 0:13:12.480 about what REDDA is, because I think we have to 0:13:12.520 --> 0:13:14.920 acknowledge people are just going to use this REDDA even 0:13:14.960 --> 0:13:18.320 before Eli Lilly approves this drug. We don't want you to. 0:13:18.840 --> 0:13:21.520 Yeah, but what is if you're hitting on I think, well, 0:13:21.520 --> 0:13:26.000 I think you're hitting on something really important here, aside 0:13:26.000 --> 0:13:29.680 from just the health risks of being on these drugs 0:13:29.840 --> 0:13:37.800 in a non prescribed, just experimental way, is the situation 0:13:37.920 --> 0:13:41.600 we have now is going to break the pharmaceutical industry 0:13:41.640 --> 0:13:44.679 in this country if it continues. And look, I'm no 0:13:44.840 --> 0:13:49.640 fan of big pharma, but everyone and his brother is 0:13:49.720 --> 0:13:53.000 making money off of REDDA true Tide now except Eli Lilly, 0:13:53.400 --> 0:13:55.440 who can't make any money off of it, which is 0:13:55.480 --> 0:13:59.160 the company that developed a drug. So if we start 0:13:59.240 --> 0:14:02.360 doing this with every promising medication that comes out, where 0:14:03.720 --> 0:14:06.720 immediately compound pharmacies are selling it and everyone is selling 0:14:06.720 --> 0:14:08.599 it online. I think waiters are slipping it in my 0:14:08.679 --> 0:14:11.600 food now at meals. You know, it's it's like it's 0:14:11.679 --> 0:14:16.280 it's it's it's just ubiquitous. Right. It's like everyone but 0:14:16.400 --> 0:14:20.360 the actual intellectual property owner of the medication is making 0:14:20.400 --> 0:14:23.160 money off of it. There's no way Eli Lilly is 0:14:23.200 --> 0:14:24.320 gonna sit still for this. 0:14:24.920 --> 0:14:27.120 Well, it's crazy because what's going to encourage them to 0:14:27.200 --> 0:14:29.480 make the two billion dollar investment to get these things 0:14:29.960 --> 0:14:33.360 it proved. But let's let's for those who don't know, 0:14:33.400 --> 0:14:37.000 let's talk about quickly what Retitruetide is. Okay, so just 0:14:37.280 --> 0:14:41.240 very very briefly, as you know, ozempic is GLP one. 0:14:41.320 --> 0:14:44.160 That's ozempic and govi. Okay, that's the first proc. The 0:14:44.200 --> 0:14:48.240 single agonist it's called manjarro and zep bound are GLP 0:14:48.360 --> 0:14:51.360 one and GIP. Those are two hormones naturally found in 0:14:51.360 --> 0:14:54.360 the body. And then the big breakthrough with retitrue tide 0:14:54.440 --> 0:14:57.040 is it's a triple agonist. It's not only GLP one, 0:14:57.320 --> 0:15:01.320 it's GIP and it's a glucagon rect agonist. Okay, So 0:15:01.960 --> 0:15:07.640 ideally it fat burns. Ideally it preserves theoretically muscle mass. 0:15:07.720 --> 0:15:10.080 We're hoping that it does all this safely. We don't 0:15:10.080 --> 0:15:13.640 know because it's not FT approved, but it's so powerful 0:15:14.160 --> 0:15:16.760 and I think it's going to be the first trillion 0:15:16.840 --> 0:15:19.680 dollar drug. But I bet you there are more people 0:15:19.840 --> 0:15:24.920 on illegal, unapproved, unsafe who knows where it came from 0:15:25.120 --> 0:15:28.840 retitruetide than probably almost any other drug out there. 0:15:29.880 --> 0:15:33.200 Yeah, and that's probably true for most people taking the 0:15:33.320 --> 0:15:40.000 golp ones as well. It's they're on really questionably sourced drugs. 0:15:40.560 --> 0:15:43.640 And so because if you're not getting it from the manufacturer, 0:15:43.840 --> 0:15:46.840 you're getting it from a compounding pharmacy that either makes 0:15:46.880 --> 0:15:51.320 it here domestically, or more likely it's being made in China. 0:15:51.760 --> 0:15:55.000 So aside from the fact that one, you're using this 0:15:55.120 --> 0:15:58.240 in a way that it wasn't designed to be used, 0:15:58.240 --> 0:15:59.960 that it hasn't been tested for it all these PEO 0:16:00.000 --> 0:16:05.600 people creating their own dosing regimens. Okay, that's you're running 0:16:05.640 --> 0:16:09.960 the experiment on yourself, basically. Yeah. But also, but aside 0:16:09.960 --> 0:16:12.880 from the fact just the you're taking something a drug 0:16:12.880 --> 0:16:15.360 that's not the design for the purpose you're using it for. 0:16:15.800 --> 0:16:18.520 You're using it in doses that it's never been tested for. 0:16:18.840 --> 0:16:21.840 You're getting on and off of it, which is probably 0:16:21.920 --> 0:16:25.560 even worse for muscle loss over the long run. In 0:16:25.600 --> 0:16:28.160 addition to that, you don't even know that you're getting 0:16:28.200 --> 0:16:31.120 the actual drug, and if it is the actual drug, 0:16:31.240 --> 0:16:33.840 you don't know what contaminants are in it. You are 0:16:33.920 --> 0:16:36.800 literally running the experiment on yourself. 0:16:37.200 --> 0:16:39.720 Okay, So it's very clear we don't recommend you get 0:16:39.760 --> 0:16:42.400 it from a compounding pharmacy because, by the way, it's 0:16:42.560 --> 0:16:47.040 illegal for them to compound a drug that's not EFTY approved. 0:16:47.080 --> 0:16:52.040 It's illegal, unauthorized, uncool, it's actually a criminal act. But 0:16:52.320 --> 0:16:56.120 let's assume for a moment that somebody is going to 0:16:56.160 --> 0:17:01.040 get rettritide on the let's assume someone may have Yeah, okay, 0:17:01.120 --> 0:17:08.080 let's see that that's being done. Okay, lowest possible effective dose. 0:17:08.359 --> 0:17:12.840 That's point number one. Absolutely start at the lowest dose 0:17:12.880 --> 0:17:15.800 and retitrue tide because of the fat burning component, may 0:17:15.880 --> 0:17:18.879 take a little bit longer. Then we'll go via a 0:17:19.000 --> 0:17:22.240 zembic or zep bound or any other GLP one drugs 0:17:22.560 --> 0:17:27.280 to actually kick in. So the goal is not zero appetite. 0:17:27.560 --> 0:17:30.680 The goal is not for you to lose five pounds 0:17:30.720 --> 0:17:34.639 per week. The goal is to diminish your appetite. These 0:17:34.640 --> 0:17:39.399 are appetite suppressants with hopefully retitrue tide kicking in a 0:17:39.400 --> 0:17:43.560 fat burning component. So keep the dose very low. If 0:17:43.600 --> 0:17:45.800 it doesn't work for a week or two or three, 0:17:46.080 --> 0:17:50.199 that's okay. Just don't raise the dose yet because we 0:17:50.240 --> 0:17:52.840 don't know what you're injecting into yourself. 0:17:52.880 --> 0:17:53.200 Okay. 0:17:53.280 --> 0:17:56.520 By the way, you ever seen this FX show The Beauty. 0:17:58.560 --> 0:17:59.119 I don't think so. 0:17:59.640 --> 0:18:02.360 Oh, it's really good. By the way, Ashton Kutcher stars 0:18:02.400 --> 0:18:06.040 in it, and it's about this shot that you can take. Okay, 0:18:06.119 --> 0:18:10.879 Ryan Murphy's show, which turns you into like a supermodel, young, 0:18:11.680 --> 0:18:15.280 amazing version of yourself. The problem is when a version 0:18:15.359 --> 0:18:18.200 of it that got out of the lab was being used, 0:18:18.200 --> 0:18:23.639 people would literally explode and spread their guts everywhere. And 0:18:23.680 --> 0:18:27.320 I'm not saying reditruetide is the next the beauty shot. 0:18:27.720 --> 0:18:30.639 But at the end of the day, if there's something 0:18:30.800 --> 0:18:37.720 like an endotoxin, which is a viral sort of impregnated 0:18:37.920 --> 0:18:43.560 bacteria or microorganism in it that takes a while for 0:18:43.720 --> 0:18:47.719 it to manifest, we couldn't be injecting ourselves with something 0:18:48.080 --> 0:18:51.760 that could lead to a very significant for example, neurologic 0:18:51.840 --> 0:18:57.040 disease later like Kreutzfeld, Jacob Kreutzfeld, you know that one. Yeah, 0:18:57.119 --> 0:19:00.480 the matt basically the human mad cow disease, human mad 0:19:00.560 --> 0:19:03.880 cow disease. And you know, I'm not here to scare anybody. 0:19:03.960 --> 0:19:09.560 And again I'm not saying anarexia ozempica is a psychiatric disorder, 0:19:09.600 --> 0:19:12.480 but I mean we may be falling off a cliff 0:19:13.040 --> 0:19:16.639 into this unknown abyss that we're setting ourselves up for. 0:19:16.840 --> 0:19:20.800 That may be a giant problem. But having said that, 0:19:21.320 --> 0:19:24.160 let's go back to how to use this redit true tide. 0:19:24.240 --> 0:19:27.000 If you must, if you're going to okay. 0:19:27.280 --> 0:19:32.240 So we may be going off a giant, disastrous cliff. 0:19:33.040 --> 0:19:35.960 But in case, you're gonna do it anyways, but we're 0:19:35.960 --> 0:19:38.920 gonna get yeah, yeah, Well, look, I see one thing 0:19:39.000 --> 0:19:43.919 needs to be stated here, Okay, and I can. I 0:19:43.960 --> 0:19:47.159 totally understand the motivation to use these and I'm not 0:19:47.200 --> 0:19:49.439 opposed at all to using it, but I think that 0:19:49.600 --> 0:19:52.800 most people. Look, if you're gonna use it, you're gonna 0:19:52.800 --> 0:19:56.960 do these things, do it with full awareness of the 0:19:57.080 --> 0:20:01.680 risks that you're taking. And said, I have no problem 0:20:01.760 --> 0:20:04.200 if we go to this sort of model for most 0:20:04.240 --> 0:20:07.679 medications in the country. The problem is if you go 0:20:07.800 --> 0:20:11.560 to this, you're acting as your own doctor, and so 0:20:12.400 --> 0:20:15.640 at this point it's on you to educate yourself. Okay, 0:20:16.040 --> 0:20:18.000 what am I going to get out of this? It's 0:20:18.040 --> 0:20:21.960 getting my body fat percentage down to fifteen percent. Worth 0:20:22.000 --> 0:20:24.440 being on a medication where we don't know what it's 0:20:24.440 --> 0:20:26.840 going to do to us ten years from now. Because 0:20:26.960 --> 0:20:30.440 that's true for semaglue tie, that's true for all of them. 0:20:30.800 --> 0:20:33.639 The longest term studies on most of these medications in 0:20:33.680 --> 0:20:38.000 big studies is maybe four years. That's not really long, 0:20:38.840 --> 0:20:41.879 and those studies are mostly on diabetics, which is what 0:20:41.920 --> 0:20:46.520 the medications were developed for so just know that. Yeah, 0:20:46.560 --> 0:20:51.440 I see the value in looking ripped and handsome and pretty, right, 0:20:52.040 --> 0:20:54.879 but there are a lot of unknowns in this. 0:20:55.480 --> 0:20:59.000 Yeah, I think it in terms of also more practical 0:20:59.160 --> 0:21:03.280 things we can suggest. Decide on an endpoint. Okay, maybe not. 0:21:03.840 --> 0:21:07.880 You know, your your high school, your your weight when 0:21:07.880 --> 0:21:09.920 you were fifteen and you had that sudden growth spur 0:21:09.960 --> 0:21:12.600 and all of a sudden you got skinny, just biologically 0:21:12.920 --> 0:21:16.280 creat So yeah, by the way, I was totally a 0:21:16.400 --> 0:21:18.640 chubby when I was on the tennis team in high school. 0:21:18.640 --> 0:21:20.600 They gave me the Turtle Award. I was very chubby. 0:21:21.160 --> 0:21:22.520 Never heard this about you before. 0:21:22.640 --> 0:21:26.439 On a decide on what a reasonable end point is, Okay, 0:21:26.520 --> 0:21:30.679 So if if you know you're twenty pounds overweight, and 0:21:30.720 --> 0:21:34.040 that's a real twenty pounds, right, meaning you're not trying 0:21:34.040 --> 0:21:37.040 to get down to your married weight, your bridal weight, 0:21:37.119 --> 0:21:41.600 but some reasonable weight. When you hit that point, back off, okay, 0:21:42.080 --> 0:21:45.040 back off, make sure you're eating the proper protein, do 0:21:45.200 --> 0:21:49.679 your resistance training, and you know the moment Eli Lilly, 0:21:50.160 --> 0:21:54.000 for example, is able to get this FT approved to 0:21:54.040 --> 0:21:57.119 come out, maybe switch to the actual real pharmaceutical version 0:21:57.200 --> 0:22:01.159 rather than this unknown one because you know, well I know, 0:22:01.280 --> 0:22:02.919 I don't know if you know about I'm sure you do. 0:22:03.440 --> 0:22:09.000 RFK Junior has decided to decategorize fourteen of the peptides 0:22:09.040 --> 0:22:12.680 from category two, which means they're illegal, to category one, 0:22:12.720 --> 0:22:15.680 which means compounding pharmacies can actually make them legally, right, 0:22:16.440 --> 0:22:19.720 all right, that isn't that's not that hasn't been passed yet. 0:22:19.760 --> 0:22:22.040 It's still legal to get the peptides, but everybody's doing 0:22:22.080 --> 0:22:28.119 it anyway. It will never be legal to compound reda 0:22:28.160 --> 0:22:32.359 true Tide ever, because it's not FDA approved, Okay, it 0:22:32.359 --> 0:22:36.200 will never be legal to do that. So the end 0:22:36.200 --> 0:22:39.480 of the day, these drugs like Reddit True Tide are 0:22:39.480 --> 0:22:44.639 being shifted towards from the grayish market to the black market, 0:22:45.080 --> 0:22:48.000 where you know, it's the guy behind the gym with 0:22:48.080 --> 0:22:51.040 the you know, the lunch bag and the trend bologne 0:22:51.160 --> 0:22:53.400 or whatever and the you know, the test and the anavar, 0:22:53.640 --> 0:22:57.359 you know, that kind of scummy kind of sourcing of it, 0:22:57.600 --> 0:23:01.719 where they're a lot more dangerous and a lot more suspect. 0:23:02.160 --> 0:23:05.560 I mean, I'm just I'm really worried that this is 0:23:05.600 --> 0:23:07.800 going to blow up in our face. And listen, no 0:23:07.880 --> 0:23:12.560 one wants to take retitruetide more than me. Okay, I 0:23:12.720 --> 0:23:16.520 really like the idea of fat burning and controlling my 0:23:16.520 --> 0:23:19.399 appetite because I've always been victimized by my appetite. You 0:23:19.480 --> 0:23:21.960 know me, Rob, I can literally eat till I'm full 0:23:23.119 --> 0:23:26.000 and then still shove more food in. You know, I 0:23:26.080 --> 0:23:30.040 find a place in my satiety center where I'm shoving 0:23:30.080 --> 0:23:33.400 it in on just adjacent to nausea I can go. 0:23:35.200 --> 0:23:37.240 I can't tell you how many times I've woke woken 0:23:37.320 --> 0:23:39.159 up at three o'clock in the morning and you know, 0:23:39.240 --> 0:23:41.879 had to go and throw up because I've just eaten 0:23:41.920 --> 0:23:45.960 too much. I'm I can relate to those people who 0:23:46.040 --> 0:23:49.159 have no control over their app I mean, I'm the 0:23:49.200 --> 0:23:53.240 perfect person for a GLP one because for me, appetite 0:23:53.240 --> 0:24:00.560 suppression would be extraordinarily helpful. Right, But this retitruetide, I mean, 0:24:00.720 --> 0:24:03.640 I don't know at what cost? You know, what are 0:24:03.640 --> 0:24:04.560 we trading for this? 0:24:12.400 --> 0:24:14.359 First of all, it's good that you wake up before 0:24:14.359 --> 0:24:18.199 throwing up, At least from Heather's standpoint, probably that's got 0:24:18.320 --> 0:24:20.680 to be a huge plus for her. Look the goal 0:24:21.240 --> 0:24:24.240 in terms of you, it's you're looking for a little 0:24:24.280 --> 0:24:27.800 bit of appetite suppression. You're not looking to kill all 0:24:27.840 --> 0:24:31.080